DR. QURATUL A RAJA MD
NPI 1497089460
Internal Medicine - Rheumatology in Sugar Land, TX

Q: What is Quratul Raja's NPI number?

The NPI number for Quratul Raja is 1497089460. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Q: What is Quratul Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Quratul Raja was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2009PECOS EnrolledAccepts Medicare Assignment

16659 SOUTHWEST FWY STE 461, SUGAR LAND, TX 77479(281) 980-2717 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Aug 10, 2023, Mar 6, 2020 and 2 more (5 updates tracked since 2017).

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About Dr. Quratul A Raja Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. QURATUL A RAJA MD (NPI 1497089460) is an individual rheumatology provider in Sugar Land, Texas, licensed in Texas (S8759) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497089460

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameDR. QURATUL A RAJACredential: MD

Location Address16659 SOUTHWEST FWY STE 461Sugar Land, TX 77479-2968

Mailing Address16537 Southwest Fwy., Medical Office Building 4, Suite 300Sugar Land, TX 77479-2968 · (281) 980-2717 · Fax (281) 265-3806

Phone(281) 980-2717

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 23, 2009

Last NPPES UpdateJanuary 5, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1497089460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in TX · S8759✔ Licensed in NY · 270272

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

16659 SOUTHWEST FWY STE 461, Sugar Land, TX 77479

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Quratul A Raja Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072763655

PECOS Enrollment IDI20230713001170

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

168 services104 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

121 services121 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450358

Location6565 FanninHouston, TX 77030 · Harris County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670077

Location18500 Katy FreewayHouston, TX 77094 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATURAL BALANCE HEALTH AND WELLNESS P.A.

Family Medicine

16659 SOUTHWEST FWY STE 461
SUGAR LAND, TX 77479

Fort Bend County (281) 340-9355

DR. MOHAMMED BARI M.D.

Internal Medicine (Rheumatology)

16659 SOUTHWEST FWY STE 461
SUGAR LAND, TX 77479

Fort Bend County (281) 980-2717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quratul Raja's NPI number?

The NPI number for Quratul Raja is 1497089460. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Quratul Raja located?

Quratul Raja practices at 16659 Southwest Fwy Ste 461, Sugar Land, TX 77479. The listed phone number is (281) 980-2717.

What is Quratul Raja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Quratul Raja enrolled in Medicare?

Yes. Quratul Raja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Quratul Raja accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Quratul Raja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Quratul Raja affiliated with any hospitals?

According to CMS data, Quratul Raja is affiliated with Houston Methodist Hospital, Houston Methodist Sugarland Hospital and Houston Methodist West Hospital.

When was this NPI record last updated?

The NPPES record for Quratul Raja was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.